ASGE Annual Postgraduate Course: Endoscopy Around the World: Video Case-Based Pearls from the Masters (On-Demand)

Video Transcription

Video Summary

The video features Dr. Thomas Roche, a world-class master endoscopist, discussing tunnel interventions in endoscopy. Dr. Roche begins by explaining the origin of tunnel interventions, which initially aimed to create a safe passage through the abdominal wall for endoscopic procedures. However, the tunnel itself has become the focus of the procedure. Dr. Roche discusses various tunnel interventions, including peroral endoscopic myotomy (POEM) for achalasia, resection of submucosal tumors in the esophagus, treatment of Zenker's diverticulum, and gastric poem for gastric outlet obstruction. He presents videos demonstrating these procedures and discusses the evidence supporting their efficacy. Dr. Roche emphasizes the need for careful patient selection, surgeon backup, and training in centers of excellence. He also discusses the ongoing research on reflux management and the use of tunnel techniques in endoscopic submucosal dissection. Dr. Roche concludes by discussing the credentialing requirements, suggesting training in animal labs and tutelage from experienced endoscopists.

Asset Subtitle

Thomas Roesch, MD

Keywords

Dr. Thomas Roche

tunnel interventions

endoscopy

peroral endoscopic myotomy (POEM)

Zenker's diverticulum

gastric outlet obstruction